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HomeMy WebLinkAboutPermit Electrical 1995-2-1 . . '0 t \\ow\n9 ?rol t feC\lJ1f6 ~p ,he .0 d ooe9 nO zoning. ~n I ()(2.. ep?'Oya. ~ ~ ELECTRICAL PERMIT APPLICATION 97477 2on1n":1::,(' Q4V1loq 72~-;jG~~ ~ -fV'-....__Ci-ty. Job Number . n ' . S'"n;:.\U,e~ AutnorlzQd '" 3. COMPLETE FEE SCHEDULE BE LOll 1. LOCATION, OF ,INSTALLATION ~7~ l~~ tllu,Mnrt A. New Residential-Single or .~\ Multi-Family per dwelling unit. \Gjc5~10~! oJ4fy) Service Included, \ ~D~S<m~ -PO~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Perm~ts are non-transferable and expire if work is not started within 180 days of issuance or if. work is suspenaed for 180 days. 2.-' CONTRACTOR INSTALLATION ONLY Electrical Contractor O..vlL~ ~'-IId... ~,JJ~) Address Ci ty .;;;;:--; -'--' J 67J, Phone 6;)'8 - )..0'19 Supervisor License Number 6 '7;Y-.:5 Expiration Date 10-1- 16 Constr Contr. Number #f70d Expiration Date 1- J.3 - 9t Signature of Supervising Electrician I;)~ K J .,~ " 0".", "., ~uJO~--lV Address _,~() ~ ~ ~ D of) City ~fi -=;:;e~ OI1NE;~~ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signature: D~TE~---------~--~~-r~--:-----~- IU:CI;rl'T II:~_~ I \\t1\, 1_1 RbCHVED BY-7 1lJ.Jfl/ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or.- Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85,00 $ 15.00 $ 40,00 $ 50,00 $ 60.00 $100.00 $130.00 $300.00 .L\' $ 40.00 :{'LL. C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00, $ 55.00- .' $ 80.00 see liB" above $ 2,00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 4jj.~ - - (.W) 4"".3.7,)